734.3.4 : Healthcare Utilization and Finance


The graduate analyzes financial implications related to healthcare delivery, reimbursement, access, and national initiatives.


It is essential that nurses understand the issues related to healthcare financing, including local, state, and national healthcare policies and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet their healthcare needs.


Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A. Compare the U.S. healthcare system with the healthcare system of Great Britain, Japan, Germany, or Switzerland, by doing the following:

1. Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland.

2. Compare access between the two healthcare systems for children, people who are unemployed, and people who are retired.

a. Discuss coverage for medications in the two healthcare systems.

b. Determine the requirements to get a referral to see a specialist in the two healthcare systems.

c. Discuss coverage for preexisting conditions in the two healthcare systems.

3. Explain two financial implications for patients with regard to the healthcare delivery differences between the two countries (i.e.; how are the patients financially impacted).

B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.


Healthcare Financing



Healthcare Financing

            Nurses must have a comprehensive understanding of the issues concerning healthcare financing including regulations and policies affecting the delivery of healthcare. Nurses must also be knowledgeable about other nation’s healthcare systems and how they differ with that of the United States (U.S). In this regard, this paper will compare the healthcare systems of the U.S and Germany.

  1. Comparison of U.S and Germany Healthcare Systems

Access to healthcare systems for children, unemployed, and retired people

In Germany, healthcare is funded by statutory contributions that ensure free access to healthcare for everyone. Also, one may take private health insurance, in other words,  Private Krankenversicherung (PKV) to substitute or supplement the state coverage (gesetzliche Krankenkasse (GKV)). Germany has a universal multi-payer system which includes statutory health coverage for people earning less than €62,550 per year as of 2020 (Peter G. Peterson Foundation, 2019). The Germany government covers bills for the children. The unemployed contribute to the statutory health insurance in the quota of their unemployment prerogative (Blümel & Busse, 2020). The government contributes on behalf of…………. Click the purchase icon above to purchase full solution for $10